Abstract
Between January 1977 and December 1982, 34 patients below the age of 20 years (age range 1.9–20 yr, mean 12.3 years) were treated for 38 episodes of infective endocarditis (IE). Twenty three patients (68%) had rheumatic heart disease (RHD), while 11 had congenital heart disease (CHD). Echocardiography was diagnostic of IE in 10 of 12 patients (83%) in whom it was performed. Blood culture was positive in only 15 instances (40%), staphylococcus being the most common organism isolated. Twenty eight (74%) episodes of IE resulted in a cure by medical treatment. Ten patients (26%) died during the medical treatment 9(90%) because of relentless congestive heart failure and 1(10%) due to cerebral embolism. Infective endocarditis in children is an important therapeutic problem. Culture negative endocarditis is frequent in our setting.
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Bhandari, S., Kaul, U., Shrivastava, S. et al. Infective endocarditis in children. Indian J Pediatr 51, 529–532 (1984). https://doi.org/10.1007/BF02776615
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DOI: https://doi.org/10.1007/BF02776615